R3 71337652Recalls & reported problems
Smith & Nephew, Inc. · R3 20 DEGREE XLPE ACETABULAR LINER 32MM INNER DIAMETER X OUTER DIAMETER 52MM · Class 2 · Implant
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 13
- Deaths reported
- 0
- Injuries reported
- 11
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 13 adverse event reports that list this exact device (DI 03596010598493), received between Jan 8, 2018 and Mar 27, 2025 — classified as 11 injuries, 2 malfunctions.
The most frequently reported specific device problem is “Device Dislodged or Dislocated” (4 reports).
3 other recalls cover devices cleared under the same FDA submission (K113848, K211176); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Device Dislodged or Dislocated4
- Insufficient Device Problem Information2
- Break1
- Device Markings/Labelling Problem1
- Fracture1
- Incomplete or Inadequate Connection1
- No Apparent Adverse Event1
Patient problems
- Failure of Implant4
- Injury4
- No Clinical Signs, Symptoms or Conditions4
- Joint Dislocation3
- Ambulation or Postural Difficulties1
- Discomfort1
- Inadequate Osseointegration1
- Insufficient Information1
Recent adverse event reports
The 13 most recent of 13 reports, in the reporter's own words as published by the FDA.
InjuryMar 27, 2025Break; Fracture; Break; Fracture
IT WAS REPORTED THAT, AFTER THR SURGERY HAD BEEN PERFORMED ON AN UNKNOWN DATE, THE PATIENT EXPERIENCED A BREAKAGE OF AN R3 20 DEG XLPE ACET LNR 32MM X 52MM. THIS ADVERSE EVENT WAS ADDRESSED BY A REVISION SURGERY PERFORMED ON (B)(6) 2025 IN WHICH AN IMPLANT FROM A COMPETING MANUFACTURER WAS IMPLANTED. PATIENT'S HEALTH STATUS IS UNKNOWN.
Patient problems: Failure of Implant; Insufficient Information
MAUDE report 21707802 ↗InjurySep 20, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, A RIGHT THR REVISION HAD TO BE CARRIED OUT ON (B)(6) 2023, DUE TO THE DISLOCATION OF A R3 20 DEG XLPE ACET LNR 32MM X 52MM AND OXINIUM FEM HD 12/14 32MM +8. BOTH IMPLANTS WERE EXCHANGED. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN, FURTHER INFORMATION HAS NOT BEEN MADE AVAILABLE.
Patient problems: Joint Dislocation
MAUDE report 17785885 ↗InjuryMar 10, 2022Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT, ON (B)(6) 2021, THE PATIENT UNDERWENT LEFT TOTAL HIP ARTHROPLASTY TO IMPROVE THE STRUCTURE OF THE PATIENT'S LEFT HIP, RELIEVE PAIN AND IMPROVE THE QUALITY OF LIFE. THE PROSTHESIS WAS NORMAL AND RECOVERED WELL AFTER OPERATION. ON (B)(6) 2022, THE PATIENT FELT AN ABNORMAL SOUND OF THE LEFT HIP JOINT, WHICH WAS OBVIOUS WHEN WALKING AND NEEDED TO WALK WITH A CRUTCH. ON (B)(6) 2022, A FILM IN THE OUTPATIENT DEPARTMENT OF THE HOSPITAL WAS TAKEN, WHICH SUGGESTED LOOSENING OF THE R3 20 DEG XLPE ACET LNR 32 MM X 52 MM. ON (B)(6) 2022, THE PATIENT UNDERWENT SURGICAL INCISION AND EXPLORATION, IT WAS FOUND THAT THE LINER WAS LOOSE AND THE LINER BUCKLE WAS WORN, AND ALSO THAT THE FEMORAL HEAD WAS WORN; THEREFORE, BOTH COMPONENTS WERE EXCHANGED. THE PATIENT IS CURRENTLY UNDERGOING POSTOPERATIVE REHABILITATION TREATMENT.
Patient problems: Ambulation or Postural Difficulties; Discomfort; Failure of Implant; Inadequate Osseointegration
MAUDE report 13720415 ↗InjuryDec 9, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER THR SURGERY HAD BEEN PERFORMED ON (B)(6) 2021, A R3 20 DEG XLPE ACET LNR 32 MM X 52 MM WAS IMPLANTED BY MISTAKE (DURING THE PROCEDURE IT WAS INCORRECTLY SELECTED). THIS ADVERSE EVENT WAS SOLVED BY BRINGING THE PATIENT BACK TO THE OPERATING ROOM FOR A THR REVISION SURGERY TO EXCHANGE THE R3 20 DEG XLPE ACET LNR 32 MM X 52 MM TO A 36 MM LINER. THERE WAS A DELAY OF GREATER THAN 30 MINUTES. CURRENT HEALTH STATUS OF PATIENT IS UNKNOWN.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12969679 ↗MalfunctionDec 1, 2021Device Markings/Labelling Problem; No Apparent Adverse Event; Device Markings/Labelling Problem; No Apparent Adverse Event
IT WAS REPORTED THAT, DURING HIP REPLACEMENT, IT WAS THOUGHT THAT AN R3 ACETABULAR LINER 32MM INNER DIAMETER X OUTER DIAMETER 52MM HAD NUMBER 50 INSCRIBED ON THE EXTERNAL BOX OF THE IMPLANT, INSTEAD OF NUMBER 52. THE SURGERY WAS RESUMED, WITHOUT ANY DELAY, THE SAME DEVICE. WHEN REVIEWING THE IMPLANTS USED, IT WAS NOTICED THAT THE CAUSE WAS ASSOCIATED WITH AN OMISSION ON THE PART OF THE SURGICAL INSTRUMENTATION OPERATOR THAT CONFUSED THE MEASUREMENTS OF THE IMPLANT. PATIENT'S HEALTH IS STABLE AND WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12908661 ↗InjuryJan 12, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A THA HAD BEEN PERFORMED ON (B)(6) 2020, THE PATIENT DISLOCATED THE PROSTHESIS FOR NOT CORRECTLY IMPACTING THE POLYETHYLENE. THE DEVICE HAS FAILED BECAUSE THE INSERT WAS NOT IMPACTED CORRECTLY AND IT WAS COMING OUT OF THE SHELL, RUBBING AGAINST THE FEMORAL HEAD. THE R3 20 DEG XLPE ACET LNR 32MM WAS REPLACED. THE PATIENT OUTCOME IS UNKNOWN.
Patient problems: Joint Dislocation
MAUDE report 11156128 ↗InjuryJan 4, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT DUE TO A HIP DISLOCATION A REVISION SURGERY IS PERFORMED AT (B)(6) ON (B)(6) 2020.
Patient problems: Failure of Implant; Joint Dislocation; No Clinical Signs, Symptoms or Conditions
MAUDE report 11114304 ↗MalfunctionDec 3, 2020Positioning Failure; Incomplete or Inadequate Connection; Positioning Failure; Incomplete or Inadequate Connection
IT WAS REPORTED DURING A PROCEDURE THE R3 20 DEG XLPE ACET LNR 32MM X 52MM DID NOT LOCK INTO R3 COATED SHELL DURING IMPACTION. THE ACETABULAR LINER WAS REPLACED WITH A NEW ONE. THE PROCEDURE HAD A DELAY BETWEEN 0-30 MIN. NO PATIENT INJURY OR OTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 10938578 ↗InjuryJan 17, 2020Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED SINCE PATIENT DISLOCATED 3 TIMES POST REVISION SURGERY.
Patient problems: Injury
MAUDE report 9601229 ↗InjuryMar 7, 2019Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE RECURRENT DISLOCATIONS. LINER WAS REMOVED. NO DELAY REPORTED AND NO BACKUP DEVICE WAS REQUIRED.
Patient problems: Injury
MAUDE report 8400242 ↗InjuryFeb 12, 2019Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO A DISLOCATION AND METALLOSIS.
Patient problems: Injury
MAUDE report 8334091 ↗InjuryNov 27, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO UNSPECIFIED REASONS (PAIN) TO REMOVE THE STEM AND CUP FROM THE PATIENT. NO DELAY REPORTED.
Patient problems: Injury
MAUDE report 8108689 ↗InjuryJan 8, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A SURGICAL INTERVENTION WAS PERFORMED DUE TO INSTABILITY. THE LINER AND THE HEAD WERE REMOVED.
Patient problems: Failure of Implant
MAUDE report 7171655 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K113848, K211176. One submission often covers many models, so check the product and lot details in each record.
- Z-0326-2025 · Oct 15, 2024 · Open, ClassifiedTandem Intl Bipolar Cocr Shell/UHMWPE Liner, TI-6AL-4V Retaining Ring, 28MM I.D. 46 MM O.D., REF 71324046, sterile, femoral head bipolar component of the Tandem Bipolar Hip System.
- Z-1929-2013 · May 29, 2013 · TerminatedR3 (TM) XLPE ACETABULAR LINER UHMWPE, 20o OVERHANG, 36 MM ID, 60 MM OD, QTY: (1), STERILE H2O2, REF 71335760. Orthopaedic.
- Z-1928-2013 · May 29, 2013 · TerminatedR3 (TM) XLPE ACETABULAR LINER UHMWPE, 20o OVERHANG, 36 MM ID, 62 MM OD, QTY: (1), STERILE H2O2, REF 71335762. Orthopaedic.
Other Prosthesis, hip, semi-constrained, metal/polymer, cemented devices
- NA 1365-51-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented753 reports
- NA 1365-50-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented412 reports
- ARTICUL/EZE 1365-21-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented1 recall280 reports
- ARTICUL/EZE 1365-11-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented1 death262 reports
- LFIT 6260-9-236Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, metal/polymer, cemented256 reports
- PINNACLE GRIPTION 1217-32-052Depuy Orthopaedics, Inc. · Prosthesis, hip, semi-constrained, metal/polymer, cemented2 deaths239 reports
- ELEOS™ 25002111EOnkos Surgical, Inc. · Prosthesis, hip, semi-constrained, metal/polymer, cemented3 deaths230 reports
- Novation 130-36-52Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented2 recalls124 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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